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NANCY A VISCOVICH PHD

Clinical Neuropsychologist

Madison, Wisconsin

Provider NPI: 1659338697

Provider Information:
 NANCY A VISCOVICH PHD
Gender: F
Not Sole Proprietor

Practice Location:
1313 FISH HATCHERY RD  MADISON, WI 53715 US
Tel: 608-252-8000  Fax: 608-283-7351

Business Mailing Address:
1313 FISH HATCHERY RD  MADISON, WI 53715 US
Tel: 608-252-8000  Fax: 608-283-7351

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
WI2562-057

Other Provider Identifiers:

IssuerNumberStateType
39150400WI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS WI - Page 1



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